Mood Disorders: Review of Current Diagnostic Systems
Mood Disorders: Review of Current Diagnostic Systems
复制标题
情绪障碍：当前诊断系统的回顾
作者：
E. Paykel
在关于心境障碍的章节中，ICD-10和DSM-IV都代表了ICD-9的相当大的进步，将情感障碍集中在一个章节中，区分双相情感障碍和单相情感障碍，包括心境恶劣，并使用明确的定义。ICD-10的问题包括复杂性，使用不同的临床和研究定义，强调单次发作与复发发作以及缺乏一些临床有用的亚型。DSM-IV没有那么复杂，但将医学和物质诱导的情绪障碍单独分类是不合理的，并且未能对其有用的限定词进行编码。这两种分类都保留了精神病性抑郁症和精神病性/躯体综合征的分类，这些分类在ICD-10中更好地编码。这种严重程度的区别可以有效地扩展到轻度抑郁症的一个较温和的类别。还建议将这两种分类合并在一起，消除定义上的微小差异，并在临床和研究中使用单一集，更简单的DSM-IV组织，省略由于一般医疗或药物滥用障碍而导致的单一与复发性和情绪障碍的分类，并包括一些亚型的编码，如季节性和产后。
In their sections on mood disorders, both ICD-10 and DSM-IV represent considerable advances on ICD-9 in drawing affective disorders together in one section, distinguishing bipolar disorder from unipolar, including dysthymia and using clear definitions. Problems with ICD-10 include complexity, use of different clinical and research definitions, emphasis on single versus recurrent episodes and the lack of some clinically useful subtypes. DSM-IV is less complex but assigns separate unjustified categories of medical and substance-induced mood disorders, and fails to code its useful qualifiers. Both classifications preserve categories for psychotic depression and melancholia/somatic syndrome, which are better coded in ICD-10. The severity distinctions could usefully be extended to a milder category of minor depression. It is also recommended that the two classifications be brought together, with small differences in definitions ironed out and a single set used both clinically and for research, the simpler DSM-IV organisation, the omission of the categorisations of single versus recurrent and mood disorder due to general medical or substance abuse disorders, and the inclusion of coding for some subtypes such as seasonal and postpartum.
一般人群样本中亚综合征抑郁症状和重度抑郁症的社会经济负担。
DOI：
10.1176/ajp.153.11.1411
发表时间：
1996
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Judd,LL;Paulus,MP;Wells,KB;Rapaport,MH
通讯作者：
Rapaport,MH